{"id":"https://openalex.org/W4415224949","doi":"https://doi.org/10.1177/27683605251387011","title":"Effect of Ayurvedic Interventions on Iron Deficiency Anemia in India: A Systematic Review and Network Meta-Analysis","display_name":"Effect of Ayurvedic Interventions on Iron Deficiency Anemia in India: A Systematic Review and Network Meta-Analysis","publication_year":2025,"publication_date":"2025-10-15","ids":{"openalex":"https://openalex.org/W4415224949","doi":"https://doi.org/10.1177/27683605251387011","pmid":"https://pubmed.ncbi.nlm.nih.gov/41091535"},"language":"en","primary_location":{"id":"doi:10.1177/27683605251387011","doi":"https://doi.org/10.1177/27683605251387011","is_oa":false,"landing_page_url":"https://doi.org/10.1177/27683605251387011","pdf_url":null,"source":{"id":"https://openalex.org/S4210171987","display_name":"Journal of Integrative and Complementary Medicine","issn_l":"2768-3605","issn":["2768-3605","2768-3613"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","medline","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Integrative and Complementary Medicine","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5118184841","display_name":"Yadu Damodaran","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I37048141","display_name":"Indian Council of Medical Research","ror":"https://ror.org/0492wrx28","country_code":"IN","type":"government","lineage":["https://openalex.org/I37048141"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Yadu Damodaran","raw_affiliation_strings":["Department of Biostatistics, St. Thomas College, Palai, Kerala, India","Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, St. Thomas College, Palai, Kerala, India","institution_ids":[]},{"raw_affiliation_string":"Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India","institution_ids":["https://openalex.org/I37048141"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022374125","display_name":"Kalesh M Karun","orcid":"https://orcid.org/0000-0002-9940-8764","observed_orcids":["https://orcid.org/0000-0002-9940-8764"]},"institutions":[{"id":"https://openalex.org/I37048141","display_name":"Indian Council of Medical Research","ror":"https://ror.org/0492wrx28","country_code":"IN","type":"government","lineage":["https://openalex.org/I37048141"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Kalesh Mappilakudy Karun","raw_affiliation_strings":["Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India","institution_ids":["https://openalex.org/I37048141"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Flemin Felix","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I37048141","display_name":"Indian Council of Medical Research","ror":"https://ror.org/0492wrx28","country_code":"IN","type":"government","lineage":["https://openalex.org/I37048141"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Flemin Felix","raw_affiliation_strings":["Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India","institution_ids":["https://openalex.org/I37048141"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008899824","display_name":"Chandan Nagendraswamy","orcid":"https://orcid.org/0000-0002-2596-5234","observed_orcids":["https://orcid.org/0000-0002-2596-5234"]},"institutions":[{"id":"https://openalex.org/I37048141","display_name":"Indian Council of Medical Research","ror":"https://ror.org/0492wrx28","country_code":"IN","type":"government","lineage":["https://openalex.org/I37048141"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Chandan Nagendraswamy","raw_affiliation_strings":["Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India","institution_ids":["https://openalex.org/I37048141"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088674506","display_name":"Deepthy Melepurakkal Sadanandan","orcid":"https://orcid.org/0000-0001-8547-2901","observed_orcids":["https://orcid.org/0000-0001-8547-2901"]},"institutions":[{"id":"https://openalex.org/I4210104297","display_name":"Jawaharlal Nehru Medical College","ror":"https://ror.org/01a4d6k20","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210104297","https://openalex.org/I4210125823"]},{"id":"https://openalex.org/I4210125823","display_name":"KLE Academy of Higher Education and Research","ror":"https://ror.org/03aam9155","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210125823"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Deepthy Melepurakkal Sadanandan","raw_affiliation_strings":["Women\u2019s & Children\u2019s Health Research Unit, Jawaharlal Nehru Medical College of KLE, Academy of Higher Education and Research (KAHER), Belagavi, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Women\u2019s & Children\u2019s Health Research Unit, Jawaharlal Nehru Medical College of KLE, Academy of Higher Education and Research (KAHER), Belagavi, Karnataka, India","institution_ids":["https://openalex.org/I4210104297","https://openalex.org/I4210125823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039096088","display_name":"Manish Jasmatbhai Barvaliya","orcid":"https://orcid.org/0000-0001-5285-8883","observed_orcids":["https://orcid.org/0000-0001-5285-8883"]},"institutions":[{"id":"https://openalex.org/I37048141","display_name":"Indian Council of Medical Research","ror":"https://ror.org/0492wrx28","country_code":"IN","type":"government","lineage":["https://openalex.org/I37048141"]},{"id":"https://openalex.org/I4391767683","display_name":"Department of Health Research","ror":"https://ror.org/00z72fs19","country_code":"IN","type":"government","lineage":["https://openalex.org/I2799351866","https://openalex.org/I4210148677","https://openalex.org/I4391767683"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Manish Barvaliya","raw_affiliation_strings":["Department of Health Research (Govt. of India), Model Rural Health Research Unit, Sirwar, Karnataka, India","Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Research (Govt. of India), Model Rural Health Research Unit, Sirwar, Karnataka, India","institution_ids":["https://openalex.org/I4391767683"]},{"raw_affiliation_string":"Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India","institution_ids":["https://openalex.org/I37048141"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030832265","display_name":"Subarna Roy","orcid":"https://orcid.org/0000-0002-6594-8615","observed_orcids":["https://orcid.org/0000-0002-6594-8615","https://orcid.org/0009-0003-6491-4899"]},"institutions":[{"id":"https://openalex.org/I37048141","display_name":"Indian Council of Medical Research","ror":"https://ror.org/0492wrx28","country_code":"IN","type":"government","lineage":["https://openalex.org/I37048141"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Subarna Roy","raw_affiliation_strings":["Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Systems Research, ICMR - National Institute of Traditional Medicine, Nehru Nagar, Belagavi, Karnataka, India","institution_ids":["https://openalex.org/I37048141"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5022374125"],"corresponding_institution_ids":["https://openalex.org/I37048141"],"apc_list":null,"apc_paid":null,"fwci":0.1475,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.16288253,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"32","issue":"2","first_page":"143","last_page":"150"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10452","display_name":"Iron Metabolism and Disorders","score":0.8314999938011169,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10452","display_name":"Iron Metabolism and Disorders","score":0.8314999938011169,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12647","display_name":"Traditional Chinese Medicine Studies","score":0.10279999673366547,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10902","display_name":"Complementary and Alternative Medicine Studies","score":0.03359999880194664,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/iron-deficiency-anemia","display_name":"iron deficiency anemia","score":0.9990000128746033},{"id":"https://openalex.org/keywords/ayurvedic-treatment","display_name":"Ayurvedic treatment","score":0.7710000276565552},{"id":"https://openalex.org/keywords/hemoglobin","display_name":"hemoglobin","score":0.7160000205039978},{"id":"https://openalex.org/keywords/serum-ferritin","display_name":"serum ferritin","score":1.0},{"id":"https://openalex.org/keywords/herbal-formula","display_name":"herbal formula","score":0.5},{"id":"https://openalex.org/keywords/pregnancy-outcomes","display_name":"pregnancy outcomes","score":0.5329999923706055},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.6480000019073486},{"id":"https://openalex.org/keywords/india","display_name":"India","score":0.6159999966621399}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8507000207901001},{"id":"https://openalex.org/C2777417653","wikidata":"https://www.wikidata.org/wiki/Q1313081","display_name":"Iron deficiency","level":3,"score":0.6055999994277954},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5349000096321106},{"id":"https://openalex.org/C2776732101","wikidata":"https://www.wikidata.org/wiki/Q954674","display_name":"Iron-deficiency anemia","level":3,"score":0.46389999985694885},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.43479999899864197},{"id":"https://openalex.org/C2778248108","wikidata":"https://www.wikidata.org/wiki/Q5445","display_name":"Anemia","level":2,"score":0.41690000891685486},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.35440000891685486},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3149000108242035},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3133000135421753},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30059999227523804},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.27399998903274536},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.2556999921798706},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.2522999942302704}],"mesh":[{"descriptor_ui":"D000071076","descriptor_name":"Network Meta-Analysis as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005293","descriptor_name":"Ferritins","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D006454","descriptor_name":"Hemoglobins","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007194","descriptor_name":"India","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008515","descriptor_name":"Medicine, Ayurvedic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016032","descriptor_name":"Randomized Controlled Trials as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018798","descriptor_name":"Anemia, Iron-Deficiency","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/27683605251387011","doi":"https://doi.org/10.1177/27683605251387011","is_oa":false,"landing_page_url":"https://doi.org/10.1177/27683605251387011","pdf_url":null,"source":{"id":"https://openalex.org/S4210171987","display_name":"Journal of Integrative and Complementary Medicine","issn_l":"2768-3605","issn":["2768-3605","2768-3613"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","medline","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Integrative and Complementary Medicine","raw_type":"journal-article"},{"id":"pmid:41091535","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41091535","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of integrative and complementary medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Zero hunger","score":0.4359000027179718,"id":"https://metadata.un.org/sdg/2"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"},{"display_name":"Meta-Analysis","id":"https://openalex.org/study-designs/meta-analysis"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W1598602811","https://openalex.org/W2031309462","https://openalex.org/W2050702579","https://openalex.org/W2051487391","https://openalex.org/W2094135718","https://openalex.org/W2111999709","https://openalex.org/W2114398941","https://openalex.org/W2211524874","https://openalex.org/W2403150820","https://openalex.org/W2521995147","https://openalex.org/W2965664886","https://openalex.org/W3030042220","https://openalex.org/W3084184904","https://openalex.org/W3118615836","https://openalex.org/W3137340026","https://openalex.org/W3141144932","https://openalex.org/W3197967841","https://openalex.org/W3208896389","https://openalex.org/W4224242081","https://openalex.org/W4225611029","https://openalex.org/W4240484632","https://openalex.org/W4285051012","https://openalex.org/W4379403666","https://openalex.org/W4384342079","https://openalex.org/W4399126504","https://openalex.org/W4401560623","https://openalex.org/W4409178103","https://openalex.org/W4411214404"],"related_works":["https://openalex.org/W4394772913","https://openalex.org/W4410170757","https://openalex.org/W2789153799","https://openalex.org/W4401560623","https://openalex.org/W3025840513","https://openalex.org/W4411214404","https://openalex.org/W4413149043","https://openalex.org/W3113385189","https://openalex.org/W2094135718","https://openalex.org/W2743812827"],"abstract_inverted_index":{"Background:":[0],"India":[1],"bears":[2],"a":[3,34,42,119,123],"heavy":[4],"burden":[5],"of":[6,14,26,44,50,68,140,174,198],"iron":[7],"deficiency":[8],"anemia":[9],"(IDA),":[10],"affecting":[11],"nearly":[12],"50%":[13],"the":[15,48,66,128,138,165,170,175,212,239],"population":[16],"and":[17,64,97,108,114,132,163,178,186,204,232,254],"contributing":[18],"to":[19,32,56,100,126,237,250],"adverse":[20],"pregnancy":[21],"outcomes,":[22,143],"accounting":[23,144],"for":[24,72,137,145,161,243],"20%":[25],"maternal":[27],"deaths.":[28],"While":[29],"IDA":[30,73,162],"continues":[31],"be":[33,238],"major":[35],"health":[36],"issue":[37],"in":[38,193,219],"India,":[39],"there":[40],"is":[41,248],"lack":[43],"comparative":[45],"data":[46],"on":[47,84,111,142,259],"efficacy":[49,67],"Ayurvedic":[51,70],"treatments.":[52],"This":[53],"review":[54],"aims":[55],"fill":[57],"this":[58],"evidence":[59],"gap":[60],"by":[61],"systematically":[62],"evaluating":[63,106],"ranking":[65],"different":[69,159],"treatments":[71,160],"using":[74,88,122],"network":[75],"meta-analysis":[76],"(NMA).":[77],"Methods:":[78],"A":[79],"systematic":[80],"search":[81],"was":[82],"undertaken":[83],"May":[85],"1,":[86],"2024":[87],"MEDLINE":[89],"(via":[90],"PubMed),":[91],"Scopus,":[92],"ScienceDirect,":[93],"AYUSH":[94],"Research":[95],"Portal,":[96],"Google":[98],"Scholar":[99],"locate":[101],"randomized":[102],"controlled":[103],"trial":[104],"(RCTs)":[105],"interventions":[107,141],"their":[109,256],"impact":[110,258],"hemoglobin":[112],"(Hb)":[113],"serum":[115,221],"ferritin.":[116],"We":[117],"conducted":[118],"random-effects":[120],"NMA":[121],"frequentist":[124],"framework":[125],"estimate":[127],"mean":[129],"difference":[130],"(MD)":[131],"95%":[133,227],"confidence":[134],"intervals":[135],"(CIs)":[136],"effects":[139],"heterogeneity":[146],"(":[147],"I":[148],"2":[149],").":[150],"Results:":[151],"Nineteen":[152],"RCTs,":[153],"comprising":[154],"2,121":[155],"individuals,":[156],"assessed":[157],"26":[158],"met":[164],"eligibility":[166],"criteria.":[167],"Results":[168],"from":[169],"reference-based":[171],"forest":[172],"plots":[173],"sensitivity":[176],"analysis":[177],"corresponding":[179],"P-scores":[180],"revealed":[181],"that":[182],"both":[183],"Sarva-Jvara-Hara-Lauha":[184],"(SJHL)":[185],"Pippalyadi":[187],"Yoga":[188],"demonstrated":[189,216],"statistically":[190],"significant":[191],"improvements":[192],"Hb":[194],"levels,":[195],"with":[196],"MDs":[197],"1.82":[199],"g/dL":[200,206],"(95%":[201,207],"CI:":[202,208,228],"0.66\u20132.98)":[203],"1.45":[205],"1.21\u20131.69),":[209],"respectively.":[210],"Among":[211],"interventions,":[213],"Bibhitakadi":[214,233],"Vatak":[215,234],"strong":[217],"effectiveness":[218],"raising":[220],"ferritin":[222],"levels":[223],"(MD:":[224],"3.87":[225],"ng/mL;":[226],"\u221213.32\u201321.06).":[229],"Conclusion:":[230],"SJHL":[231],"were":[235],"found":[236],"most":[240],"effective":[241],"strategies":[242],"treating":[244],"IDA.":[245],"Additional":[246],"research":[247],"needed":[249],"substantiate":[251],"these":[252],"findings":[253],"assess":[255],"wider":[257],"public":[260],"health.":[261],"Trial":[262],"Registration:":[263],"PROSPERO":[264],"registration":[265],"number":[266],"CRD42024541803.":[267]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-10-16T00:00:00"}